| Hattiesburg Clinic Pa | |
|
128 Highland Pkwy Suite 200 Picayune MS 39466-5577 | |
| (601) 358-9630 | |
| (601) 358-9640 |
| Full Name | Hattiesburg Clinic Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 128 Highland Pkwy, Picayune, Mississippi |
| Authorized Official Name and Position | Bryan N Batson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6012646000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hattiesburg Clinic Pa 415 S 28th Ave Hattiesburg MS 39401-7246 Ph: (601) 579-5488 | Hattiesburg Clinic Pa 128 Highland Pkwy Suite 200 Picayune MS 39466-5577 Ph: (601) 358-9630 |
| NPI Number | 1265593156 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 02/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265593156 | NPI | - | NPPES |
| 01537750 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Southeast Mississippi Rural Health Initiative, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1911 Read Rd, Picayune, MS 39466 Phone: 601-545-8700 Fax: 601-582-5461 | |
James M Riser Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2274 Highway 43 S, Picayune, MS 39466 Phone: 601-798-5798 Fax: 601-798-5914 | |
Highland Community Hospital Physicians Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 146 Highland Parkway, Picayune, MS 39466 Phone: 601-358-9400 Fax: 601-358-9421 | |
Enhanced Care Labs & Screening Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 Highway 11 N Ste E, Picayune, MS 39466 Phone: 769-216-1415 | |
Children's International, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2003 Wildwood Rd, Picayune, MS 39466 Phone: 985-646-1580 | |
Children's International, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 Williams Ave, Picayune, MS 39466 Phone: 601-798-5558 Fax: 601-798-9915 |